F

THE TERRACE AT DENISON

1300 MEMORIAL DR, DENISON, TX 75020
Score: 37 / 100

The Terrace At Denison has received an F grade based on CMS data, with a score of 37/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Denison facility should carefully review its inspection history and quality metrics.

With 3.38 total nurse hours per resident per day, The Terrace At Denison falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 35 deficiencies at The Terrace At Denison, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: reasonably accommodate the needs and preferences of each resident..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.38 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 1.34 0.7 Above Average
Certified Nursing Assistants (CNA) 1.72 2.4 Below Average
Weekend Total Nursing 3.09 3.8 Below Average
Weekend RN Hours 0.16 0.7 Below Average

🔍 Inspection & Deficiency History

35
Total Deficiencies
Dec 2, 2025
Most Recent Inspection
🟠 33 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Dec 2, 2025 · Resident Rights Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Dec 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Dec 2, 2025 · Pharmacy Service Deficiencies
  • Tag 0576 Severity E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    Sep 10, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 10, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.0% 4.5% Better
Falls with major injury 6.3% 3.0% Worse
On antipsychotic medication 15.1% 14.5% Average
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 9.1% 14.0% Better
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 8.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $47,097

How This Grade Was Calculated

This facility's grade of F is based on a score of 37 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
136
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 10, 2025
Deficiencies (Cycle 1)
14